Permit (88) ZItq CITY OF TIGARD MASTER PERMIT
COMMUNITY DEVELOPMENT Permit#: MST2015-00306
13125 SW Hall Blvd.,Tigard OR 97223 503.718.2439 Date Issued: 01/21/2016
Parcel: 2S109DA04200
Jurisdiction: Tigard
Site address: 12798 SW WILLOW POINT LN
Subdivision: SUMMIT RIDGE Lot: 19
Project: NASSER
Project Description: Solar Photovoltaic system.
BUILDING
Floor Areas Required Setbacks Required
Stories. 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second. 0 in Garage: 0 sf Front 0 Smoke
Dwelling Units: 0 Third: 0 sf Right. 0 Detectors:
Total: 0 sf Value: $4,000.00 Rear. 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters. 0 Water Lines: 0 Drains: 0 Catch Basins: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0 BckI1w Prevntr 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heal Pump: N Hoods: 0 Other Units0
Furn<100K: 0 Vents: 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 1 0-200 amp: 0 W/Svc or per: 0
Ea add'I 500 sf. 0 201400 amp- 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mid Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601*amp-1000v: 0
1000+amp/volt 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio 8 Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener: N All
Other: N Other Description: Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Cool Occupancy Group: Square Feet:
OTR SF VB R-3 0
Owner: Contractor:
NASSER,MICHAEL S 8 KIMARIE I C SOLARCITY CORPORATION Required Items and Reports(Conditions)
12798 SW WILLOW POINT LN 6132 NE 112TH AVE
TIGARD,OR 97224 PORTLAND,OR 97220
PHONE PHONE: 503-894-6903
FAX: 866445-7459
Total Fees: $326.88
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be donactor ance-with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 160
tlay ATTENTION. Ore go law r vires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
9 -001-0010 through OAR 952 1-009 . ou may obtain a copy of the rules or direct questions to OU �111ng503.232,1987 or 1.800.3 .2344
Issued By: Permittee Sigu`e
i� Ca1all be kept 5 by 7:00 a.m.for the next available inspec om date. x
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site al the time of each inspection.
_ W
Building Permit Application
Residential
R Swed
City of Tigard jj �jP. N
13125 SW Hall Blvd.,Tigard,OR 97223 Plan Rc ghcr Pcrmi,:
Phone: 503.718.2439 Fax: 503.598.19 1� DnnUll
Inspection Line: 503.639.4175 g 10 Date Ren tare ®Sec page2 for
Internet: www.tigard-or.gov J NotifaWMc,bed: Supplcmcatel lofwmadon
TYPE OF WORK , y REQ�IERRD uATw{It 490* *
❑New construction El Der%4iptV!�13 Permit fees"are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all
®AdditioNaheration/replacement ❑Otb equipment,materials,labor,overhead,and the profit for the
OATRQORY OF CONSTRUCItION work indicated an this application.
® 1-and 2-family dwelling Commercial/industrial Valuation: $ 4,000
❑Accessory building ❑Multi-family Number of bedrooms:
❑Master builder ❑Other: Number of bathrooms:
JOB SM MA 'AN*WCATM Total number of Boors:
Job site address: 12798 SW Willow Point Ln, New dwelling area: square feet
City/StatdZlP: Tigard OR 97224 GaragMcarport area: square feet
Suite/bldg./apt.no.: Project name: Nasser, Michael Covered porch area: square feet
Cross street/directions to job site: Deck area: square feel
Other structure arca: square feet
REQVWJW DATA:OOMWRCL4[A E Cf7ECIH.19T
Subdivision: Lot no.: Permit fees-are based on the value of the work performed.
Tax map/parcel no.: Indicate the value(rounded to the nearest dollar)of all
equipment,materials,labor,overhead,and the profit for the
OEBCRtPTION OF WORK work indicated on this application.
Valuation: $
PV ROOF MOUNT Existing building area: square feet
New building area: square feet
19 PROPERTY OWNER T P:.7tEAlAP1T Number ofstories:
Name: Nasser, Michael Type ofconstruction:
Address: 12798 SW Willow Point Ln, Occupancy groups:
CityJStste/ZIP: Tigard OR 97224 Existing:
phone:(503) 560 1105 Fax:( ) New:
0 APPLICANT M c TACT _ BiltwMPURMiTFEEea
Business name:
SolContact Warne: M arCity Corp F Structural plan review fee(or deposit):
FLS plan review fee(if applicable):
Address: 6132 NE 112th Ave.
city/state/ZIP: Portland OR 97220 Total fees due upon application:
Phone:(503)894-6903 Fax::(1866 445-7459 Amount received:
E-mail:Melissa.Farias@SolarCity.com PRAT4t#!CYP.TAICC P S NEIeT�+'
CTOR Commercial and residential prescriptive installation of
J.
roof-lop mounted PhotaVoltaic Solar Panel System.
Business name:SolarCily Corp. Submit two(2)sets of roof plan with connection details
and fire department access,along with the 2010 Oregon
Address: 6132 NE 112th Ave solar fnsrullurion eclat Code checklist.
City/State/ZIP. Permit Fee(includes plan review
Portland OR 97220 and administrative lets);
$t80.00
Phone:( ) Fax:
- State surcharge(12%of permit fce): $21.60
CCB Iia: 180498 Total fee due upon application: $201.60
Authorized signature: This permit application expires if•permit is notobtsined
within 180 days after it has been accepted as complete.
Print name: I Date: 12.29.15 `Fee methodology set by Tri-County Building Industry
Melissa Fari service Board.
1:%Building\Permits\DUP-RESPermitApp.doe 02/24/2011 440-4613T(I 1/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling 7�awd
City Or TigardPlaa S50 He181439,Tiganl,OR 98,19 MlNls:1'Ironc: 503.7IR.2439 Pas: 503.598,196(]24-Hour'Inspection Lnc: 503.639.4175 ❑ 3'lom6inr 0 MrshaeaslInland: wwwaigard-or.gov
I HE FOLLOWING ITEVIS ARL REQUIRED FOR PLAN RLVJLNV us
3 Land use actions corn feted. Sec jurm fiction criteria forconcunart reviows.
2 24on(n . Flood plain.solar balance points.seismic soils designation,historic district,etc.
3 Verification of approved plattlet. Q Q
4 Fire district approval required. Name of district
5 Septic sstem permit or authorisation for remodel. Existing system capacity ❑
6 Sewer p2rinit ❑ ❑
7 Water district approval. ❑ ❑
8 Soils report. Must carry original applicable stamp and signature on file or with o lication.
-9 Erosion control F_1 plan [I permit required. Include dminage-way protection,silt fort design and location of catch- ❑ ❑
basin Vrolectiom etc.
10 3 Complete rets of legible pians. Must be drawn to scale,showing conformance to applicable local and state [,] ❑ {]
building codes. Lateral design details and connections must be incorporated into the plans or on a sepamtc Poll-size
sheet attached to the plans with cross references between plan location and details. Plan review cannot he completed if
co rr7 h/Wolations est vi.
I I SitMplot pian drawn to scala The plan must show lot and building setback dimensions;property comer elevations(if El Ej El
there is more than a 4-R.elevation differential,plat)must show contour lines at 2-R.intervals);location of easoments
and driveway;footprint of structure(including decks);location of wells/septic Systems;utility locations;direction
indicator;lot area;building coverage arca;percentage ofcoverage;impervious area;existing structulu on site;and
surface drains e.
12 Foundation plan. Shaw dimensions,anchor bolls,any hold-downs and reinforcing pads,connection details,vent size ❑ El 13
and location.
13 Floor plans. Show all dimensions,resum identification,window size,location of smoke detectors,water healer, ❑ ❑ ❑
furnace ventilation films,plumbing fixtures,balconies and decks 30 inches above grade.etc.
14 Cross section(s)and details. Show all framing-member sins and spacing such as floor beams,headers,joists,sub- ❑
floor,wall construction,rool'cons(ruc(ion. More than one cross section may be required to dearly portray
construction. Show details of all wall and roof sheathing,roofing,roof slope,ceiling height,siding material,footings
and foundation stairs,fire tare construction,thermal insulation,etc.
I S Elevattoo views. Provide elevations for new conntnrclion;minimum of two elevations for addhious and remodols. [] ❑
Exterior elevations must reflect the actual grade if the change in grade is.grculer than four foot at building envelope.
Full-size sheet addcndums showing foundation elevations with cross references are acceptable..
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations;for non- ❑ El 0
prescriptive path analysis provide specifications and calcrdatinns to cn 'neerin .standards.
17 Floortroof framing. Provide plans for all Floorshoof assemblies,indicating member siring,spacing,and hearing 11 El 0
locations. Sb)w attic ventilatian.
18 Basement and retaining walls. Provide cross sections and details showing placement of rchar. For engineered
systems,see item 22,"En ineer'a Qilcululions"
19 Beam calculations. Provide two sets of calculations using current code design values for all beams and multiple joists ❑ ❑ ❑
over 10 feet 10119 mid/or any bcomfit ist carrying a non-uniform load.
20 Manufactured Boor/roof truss design details.
21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required ❑ ❑
for four or more appliances.
22 Engineer's maculations. When required or provided,(i.e.,shear wall,roof truss)shall be stamped by an engineer or
architect licensed in Ore on and shall be shown to bear livable to the miect under review.
JURISDICTIONAL SPECIFICS
23 Three(3)site plans are required for hom I I above. Site plans must be 8-112"x I]"or 1 I"x 17
24 Two(2)sets each arc required for Items 16. 19,20 and 22 above,
25 Buildin laps shall mol contain red lines or to e-ons. "Mirrored"buildin 'plans will not be accepted. ❑
26 "Reversed"building olmris must meet criteria outlined in the Permit&System I3evein mcnf Fcr doc orneul. ❑
27 "Drown to scale"indicates standard architect or engineer scale,
28 Site plan to include tree size,type and Ion Gon per ynproved project street tree pian(if applicable),and City of Tigard ❑ ❑
Street Tree List.
29 Site plan to include trees and tree protection measures as required by conditions orapproval. Tree locations,driplines, ❑
and pmtection measures must be drown to scale and must include the mojeCt arboriSVN Signature of a n roval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all buildingadditions, ❑ ❑ ❑
including decks,patio covers(over non-impervious surface)and accessory structures to existing residential dwellings
on a lot ormcord approved prior to September 9, 1995.
I:Viuilding%PermitslBUP-RESPennirApp,dw 0224/2011 440A613TH 1/02/COM/WEB)
Electrical Permit A licat'
City of Tigard �5 na i cd /ot 3— permit Ne.:
13125 SW Hall Blvd.,Tigard,OR 97223 Pion Review
Phone: 503.7181439 Fax 503.598.1%,4"`� DmclB : Other Permed:
Inspection Line: 503.639.4175 4 �V one Reedy/By: corm ® SeePge2 for
Internet: wwtv.tigard-or.gov \ !,V onfoZy.thod: Sappkmcobil Inforn+Uo+
TYPE or, —. PLAN REVIEW _..
El New construction ®Addilion/alt .cement Please dwA all that apply(submil I sees orpba w/items cheesed below):
❑Demolition El Other: 0 Service or fader 400 unpe or more 0 Budding over three stories.
where the awibbb huh torrent 0 Marini and boatyards.
CATEGORY OF CONUrRA C770N cxacds 10,000 amp,at Iso volts or 0 Fleabite buadinar.
® less to groum,or exceed.14,000 OConmcrciniuu agricultural
I-and 2-family dwelling ❑Commercial/industrial ❑Accessory building amp,hr au other installao.s. buildings.
❑Mulli-family E]Master builder El Other 0Fire pump. 0 iaralbuon or 150 KVA or
O Emcraemy system. brgcr-" tclydcnrsd,yrlem.
JOB WE INPORMATTON AND LOCATION OAdditionofaw motor loader 0•'A""C"-1-2","l-Y,
Job no.:9723159 lob site address: 12798 SW Willow Point Ln, IMHP or mom. occupancy.
0 Six or mom rai le.ml uniw 0 Recreational vehicle park,.
City/Stele/ZIP: Tigard OR 97224 ❑Health-orae facilities. O Supply wh.p for rrmrc than
❑Hwarduus locations. 600 volts nominal.
Suitelbldg./apt.no.: Project name: Nasser, Michael 08ervws or fader boo amp.or mom.
PEE SCHEDULE
Cross slrett/directions tojob site: ustorwess I Uty. I Fm I Taal
New residential siagle-or multi-fmmBy dwelling unit.
Includes attached garege.
Subdivision: igtnn.: 1,000 sq.R.or toss 168.54 4
Tax map/parcel no.: Ea.add'l 500 sq.ft.or Forlorn 33.92 1
Limited energy,residenuel 75.00 2
Dill"MO111 or WORK with above sq.d.
Limited energy,muhi-firmly 7500 2
PV ROOF MOUNT residential with above xq.R.
Renewable Energy 0 See Page 2
Services or feeders installation alteration and/or relocation
® PROPERTY OWNER ❑ 7xNANT 200 amp.or less 1 100.70 1 2
—' 201 amps w 400 amps 133.56 2
Naim: Nasser, Michael 401 amps to 600 amps 200.34 2
Address: 12798 SW Willow Point Ln, 601 amps to 1.000 amps 301.04 2
Over 1,000 amps or volts 552.26 2
City/Stale/ZIP:Tigard OR 97224 Temporary services or feeders installation,alteration,and/or
Phone:( 503) 560 1105 Fax:( ) relocation
200 amps or less 59.36 1
Owner installation:This installation is being made on properly that I own which is not
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 01 amps to 400 amps 125.08 2
2201 amps to 599 amps 168.54 2
Owner signature: Date: Branch circuits-am,alteratlon,or extension r panell
® APPLICANT to CONTACT PERSON A.Fee for branch coot in wrM
above service or fader lee, 7.42 2
Business time:SolarCity Corp. each learch circuit
B.Fee for branch circuits winnow
Contact name: Melissa Farias service or fader fee,lint 56.18 2
branch circuit
Address: 6132 NE 112th Ave race add']branch circuit 7.42 2
City/Slale/ZIP: Misrellaneous service or feeder not included
Portland. OR 97220 Each manufacturd or modular 6784 2
Phony( Fax: :( dwelling,service and/or feeder
5031 894-6903 1866) 445-7459 Reconnect only 67.84 2
E-mail: Melissa.Farias@SolarCity.com pump err itrigatim,circle 67.84 2
CONTRACTOR Sign a outline lighting 67.94 2
Business name: 1 Sigral circuit(s)m limitd� nergy See
panel,arCity Corp. allmtion,or extension. Pa 2 1 2
Address: 6132 NE 112th AveEach additional Inspection over allowable in any of the above
Additional inspection(I hr min) 66.25/ht
CityfState121P:
P M..9.7220 __ -Investigation(I hrmin) 66.25/hrr
Phone:( ) Fax:(1866) IndustrialIndustrialplant(1 hr mint 78.1&h 11
503 894-6903 1866) 445 7459 Inspections for which no fee
CCB Lic.: 180498 Electrical Lic.: 0562 Suprv.Lic.: 58735 apai&ally listed('a hr mins I 90.0w hr
Sup".Electrician signature,required: ' - ELJW ICAL PERMIT I=Subtol.h
Print name: Nicholas Armstrong Dare: 12.29.15 Plot,review(25%of permit fee):
State surcharge(12%of permit fee):
Authorized signature: r
gra j TOTAL PERMIT FEE:
']Tis permit application expires If a permit Is net obtained within 199
Print name: Melissa Eariav Dale: 12.29.15 days after it has been accepted as compote.
s Number of mspeetfum allowed per permit.
�Buiki„asPrrmaasLl.C_PormAeP_ELR CRE R.v OL]IMI I MaabI5T1tIN4CU6tiWL0
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
RESXY?ENTIAL W04WONL3t: V"scc+e11' s"
Fee for all residential systems combined......,. $75.00 uawt uw pro IT^ i
Reaewabie electrical energy systems:
Check Type of Work Involved: 5 kvaarin. 1 I0o.70 100.70 2
5.01 la 15 k. 133.56 2
❑ Audio and Stereo Systems* 15.01 h25kva 200.34 2
❑ Burglar Alann Wind gerserstiont systems in excess of 25 kva:
25.01 to 50 kva 301.04 2
❑ Garage Door Opener* 50.01 to 100 kva 552.26
0100 kva(tic in occmtdooc.with 552.26 2
❑ Heating, Ventilation and Air Conditioning OAR 918-309-0040
System* Solar genlrudon.systems in excess of 25 kva:
Pesch odddional kva over 25 7.42 3
❑ Vacuum Systems* '100 kva—no addition.]charse 0.0 3
❑ Loch additional inA eeaUn over nllnw.ble in nny or the have:
Other: tach additional inspection is 66,251 hr I
ch at alt hour] 1 hr min)
:sspcdiow Par which no fee is 90,60"hr
s telrseal listed 'h hr min)
COMMERCIAL WORK any: LLXCT1WA PR$llrr.$E.ES
Fee for each commercial system....................... $75.00 subtotal:
(SEE OAR 915-309-0000) Plan .view,if required(254e ofpctm;t ree):
stato.rurcllurge(12%ofpomlit f1c):
Check Type of Work Involved: TorAL PERMrr rsr:
This perms 1pplicalioa expires if a permit is sol obtained withtn 190
❑ Audio and Stereo Systems days aver it bas been wcepled ns c osphse.
• Nulnixr of insryslinas albwca pcx pcxmit.
❑ Boller Controls
❑ Clock Systems
❑ Data Telecommunication installation
❑ Fire Alam Installation
❑ HVAC
❑ Instrumentation
❑ Intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
❑ Outdoor Landscape Ligluing*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other Installations
I?ffuilJut6`RmnYs1E1L.PamlApp_CIA ME,inr Rcr06/212U13
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12798 SW WILLOW POINT LN, TIGARD, OR,
97224
Residential - Master Permit
199 Electrical final
PASS
MST2015-00306
Jeff Grove
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hall Blvd.
Tigard, OR 97223 Tel: 503.718.2439
12798 SW WILLOW POINT LN, TIGARD, OR,
97224
Residential - Master Permit
299 Final inspection
PASS - No C of O
MST2015-00306
Jeff Grove
Violation Summary:
Inspector Contractor